Healthcare Provider Details

I. General information

NPI: 1629990692
Provider Name (Legal Business Name): HMK CASE MANAGEMENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 N MUR LEN RD STE 111
OLATHE KS
66062-1794
US

IV. Provider business mailing address

801 N MUR LEN RD STE 111
OLATHE KS
66062-1794
US

V. Phone/Fax

Practice location:
  • Phone: 316-519-4919
  • Fax:
Mailing address:
  • Phone: 316-519-4919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: HEZRON MAYENGA
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 316-519-4919